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LEONARD R ODHAM JR DDS PA
NPI 1063556587
Dentist in Fair Bluff, NC

Active since February 16, 2007
16 POWELL ST, FAIR BLUFF, NC 28439(910) 649-7222(910) 649-7113 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leonard R Odham Jr Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARD R ODHAM JR DDS PA (NPI 1063556587) is a healthcare organization registered as a dentist in Fair Bluff, North Carolina and active in the NPI registry since February 2007. The organization lists Leonard Russell Odham, Pres, as its authorized official.

NPPES Registry Identity

NPI1063556587
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLEONARD R ODHAM JR DDS PA
Location Address16 POWELL STFair Bluff, NC 28439
Mailing AddressPo Box 368Fair Bluff, NC 28439 · (910) 649-7222 · Fax (910) 649-7113
Phone(910) 649-7222
Fax(910) 649-7113
Organization SubpartNo
Authorized OfficialLeonard Russell OdhamPres · (910) 649-1222
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMay 29, 2012
✔ NPI 1063556587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 4101
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
16 POWELL ST, Fair Bluff, NC 28439
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Other Identifiers 1

Medicaid8996472NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard R Odham Jr Dds PA's NPI number?

The NPI number for Leonard R Odham Jr Dds PA is 1063556587. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Leonard R Odham Jr Dds PA located?

Leonard R Odham Jr Dds PA is located at 16 Powell St, Fair Bluff, NC 28439. The listed phone number is (910) 649-7222.

What is Leonard R Odham Jr Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Leonard R Odham Jr Dds PA was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.